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Impact of Social Determinants of Health on Cancer Treatment

NOMINATED TOPIC | November 4, 2022

1. What is the decision or change (e.g. clinical topic, practice guideline, system design, delivery of care you are facing or struggling with where a summary of the evidence would be helpful?

Question: How are symptoms and side effects of cancer treatment experienced differently among patients based on age, race, zip code, stage at diagnosis.

Population: Patients undergoing treatment for a cancer diagnosis
Intervention and Comparator: Cancer treatment regimens
Outcomes: CTCAE Grading of symptoms and side effects; Informed decision making

Overall Example: How do demographic factors, prognosis, and social determinants of health affect one's experiences with specific cancer treatment regimens?

2. Why are you struggling with this issue?

Studies examining symptoms of cancer treatment regimens are limited with respect to differences in demographic factors, socioeconomic status, and cancer stage

The impact of social determinants of health on how cancer regimens will be tolerated has not been explored.

There is difficulty individualizing treatment regimens and identifying additional supportive care strategies based on SDOH and socioeconomic status.

3. What do you want to see changed? How will you know that your issue is improving or has been addressed?

Conversations between providers and patients with respect to treatment options and supportive care strategies will be informed by how people in similar clinical and personal situations have tolerated certain treatment regimens.

Providers will know how SDOH impacts tolerance and adherence and suggest treatment and supportive care strategies that are feasible and attainable

4. When do you need the evidence report?

Sunday, 12/31/2023

5. What will you do with the evidence report?

Disseminate to cancer care providers, nurses, and healthcare workers.
Inform educational materials on informed decision making, treatment and symptom management guidelines.

Optional Information About You

What is your role or perspective? Professional Society
 

If you are you making a suggestion on behalf of an organization, please state the name of the organization. Oncology Nursing Society

May we contact you if we have questions about your nomination? Yes

Page last reviewed February 2023
Page originally created November 2022

Internet Citation: Impact of Social Determinants of Health on Cancer Treatment . Content last reviewed February 2023. Effective Health Care Program, Agency for Healthcare Research and Quality, Rockville, MD.
https://effectivehealthcare.ahrq.gov/get-involved/nominated-topics/social-determinants-health-cancer-treatment

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